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Tracy Mazda Waste Anti-..zeze Tank and Waste Oil Assessment <br /> Written Assessment per CCR Title 22 <br /> Page 2 or.3 <br /> Int . rity Assessment Inspection Checklist(conVd. <br /> Leak Detect n Testing <br /> Tani, 4'isutl ❑Continuous interstitial Monitor ❑Manual Monitor ❑Nene Dass O Pail ❑Not T'estcd <br /> i 'I cs t iryg <br /> Piping 3<V,ual O Continuous Interstitial Monitor ❑Manual Monitor ❑None t'JI'ass O F311 C7 Not Tested <br /> Spill Prevention!(lx_erti/ll Ad�equpte?(if no,explaini _--- <br /> tipill Bucket D YcG Q No I yes,CapacityuYes ❑ No <br /> Testing <br /> Nigh Level Alarm KYes 0 No Ifyes,❑Audible ❑Visual RISnss❑ fail Q Not Tcsted <br /> - <br /> Auto Shutoff O'Yes ElNo Testing <br /> ❑Pass❑Fail E Not Tested <br /> Corrmion Protection Adequate?(it no,explain) <br /> n Coating [_7 Cathodic Protection s ©No <br /> System Condition Adequate?(if no,explain) <br /> foundation:[= wod 01-air ❑Poor ees 13No <br /> Adequate?(if no,explain) _ <br /> 'tank: LT(iood ❑Fair ❑Poon• EKIes 0 N <br /> f, <br /> - - Adequate?(ifno,explssn) <br /> Piping: ©Good ❑Fair ❑Pours o<,, ❑No <br /> — - Adequate?(If no,explain) <br /> Millardc: ❑Gond ❑Fair ❑Poor None s ❑No <br /> Adequate?(if no,explain) <br /> Nonsekeeping: ❑Good air 13 Poor <br /> _ _. [ es ❑No <br /> Adequate?(if no,explain) <br /> ,,, <br /> CtrnstructionQnality;Installation: load C]F'air []P«)r 6JYes IJ No <br /> Evidence of Release r,;l'�r i scribcl _ <br /> Staining: ❑Yrs 11o --- Spills: ❑Yes 13<__<//_ ----� <br /> Distressed Vegetation: ❑Yes D o Runoff: Oyes <br /> CommenIV04her: d 'ir <br /> Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwaterguy(@rwaterquy.corn 30 <br />